Children Of America Chestnut Hill

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: At time of unannounced inspection on 4/29/26, cert rep observed indoor "city place" room was being used to store a recent delivery of furniture and child care items. Large boxes and other items were present throughout the room, making it unsafe for children to use. This is continued non-compliance.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: At time of unannounced inspection on 4/1/26, a child's lunch brought from home was observed in the cubbies in the School age classroom, and contained a lunchmeat and cheese sandwich.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: At time of unannounced inspection on 4/1/26, a formula and feeding schedule was not present for one of the infants in the room.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: At time of unannounced inspection on 4/1/26, the Pre-School 2B room did not have children enrolled and the room was being used to store some furniture and other items and was not suitable to receive children.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: At time of unannounced inspection on 4/1/26, the lock on one of the drawers in the Two's classroom was broken and permanent and dry erase markers were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: At time of unannounced inspection on 4/1/26, a Monstera plant variety and a Colocasia plant were observed in the Two's classroom.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At time of unannounced inspection on 4/1/26, ceiling tiles in the Preschool 2A room were stained and in need of being replaced.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.114

Description: Outdoor Activity

Noncompliance Area: At time of unannounced inspection on 10/1/25, it was acknowledged by staff person #1 and #2 that children are not taken outside every day, weather permitting

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At time of renewal inspection on 9/17/25, children were observed sleeping in/on rest equipment in the infant room and the Toddler A room and there was not 2 feet of space on three sides of the rest equipment while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At time of renewal inspection on 9/17/25, several licensed rooms (Two's A, Two's B, Toddler C, Pre-K A and Pre-K B) were observed to be closed due to water damage from a leaking pipe in the second-floor bathroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: During unannounced inspection on 4/30/25, the bathroom in the Two A classroom had different types of plastic bags in the corner and they were accessible to the children under 3 years of age.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.62(c)/3270.62(d)

Description: Space safe for large muscle activity/No simultaneous use

Noncompliance Area: During unannounced inspection on 4/30/25, the indoor play space (City Place) was being used as storage and was not suitable or safe for indoor play.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity. Outdoor or indoor play space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At time of renewal inspection on 11/6/24, the refrigerator in the Infant B room had an oven thermometer located in the refrigerator which could not accurately measure the temperature of the refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.123(a)(4)/3270.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: At time of renewal inspection on 11/6/24, the agreement for child #2 did not list the child's arrival and departure times and did not list the designated release persons.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At time of renewal inspection on 11/6/24, the emergency information for child #1 did not include the phone number for the child's physician. The emergency information for child #2 did not include the address of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At time of renewal inspection on 11/6/24, the emergency information for child #1 and #3 did not include signed parental consent for emergency medical care or for the administration of minor first-aid procedures.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: At time of renewal inspection on 11/6/24, staff person #1 did not have documentation of completing the required pre-service training within 90 days of hire.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.66(d)

Description: Toxic plants not permitted

Noncompliance Area: At time of renewal inspection on 11/6/24, a variety of a Kalanchoe plant was observed in the Toddler B room.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: At time of renewal inspection on 11/6/24, a child was observed sleeping in a crib and the crib was positioned in front of an emergency exit door.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At time of renewal inspection on 11/6/24, the fire drill log used by the facility did not list the names of the facility persons participating in the fire drill, it only listed the number of participating staff.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: At time of renewal inspection on 11/6/24, there was no documentation the fire system was being tested every 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At time of unannounced inspection on 9/17/24, the following physical site hazards were observed by cert rep during walkthrough of facility: Construction/renovations are being completed on the windows throughout the facility. Plywood is being used to cover the windows until the new windows are installed. Plywood covering the windows is in most classrooms and in 1 indoor play space and is accessible to children ages infant to school age. The plywood has a rough surface with splintering possibility, has duct tape around the edges that is being loosened by children tugging on it which exposes the unfinished edges of the plywood and crumbling cement underneath the tape, all of which is accessible to children. Staples that are not flush with the wall are holding duct tape in place in higher areas and these large staples are accessible to the school age children. Corners of some of the classrooms were observed to be visibly dusty and dirty from the renovations being done.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At time of unannounced inspection on 9/17/24, cert rep observed chipping paint and plaster in the following rooms: The Pre-K room had chipped purple paint around the window area due to window renovations, the PS 1 A room had chipped purple paint by the window. The PK counts room had chipped/bubbling paint and plaster on the ceiling near the cove where the windows are being replaced.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During unannounced inspection on 8/21/24, In the infant A room, an infant was observed sleeping in a crib and there was not 2 feet of space on three sides of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During unannounced inspection on 8/21/24, a child's lunch containing chicken nuggets was observed in the cubbies in the Young Two's Room and the lunch was not refrigerated.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During unannounced inspection on 6/26/24, the facility's emergency plan had not been updated to meet Federal requirements under 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: During unannounced inspection on 6/26/24, the facility's emergency plan did not include the procedures that would be followed during a lockdown.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(3)/3270.27(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During unannounced inspection on 6/26/24, the most updated version of the facility's emergency plan did not include information on how parents will be contacted during an emergency, when parents will be notified throughout the course of the emergency (at the onset and conclusion) and did not specify that parents will be provided with instruction on how to be safely reunited with children at the conclusion of the emeregency.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3270.61(f)

Description: No business simultaneous use

Noncompliance Area: During unannounced inspection on 6/26/24, the second-floor school age room is not being used for child care and was observed to be used for storage. Window molding was missing around some of the windows and items such as a desk, vacuum, and other child care supplies were being stored in this space, making it unsuitable and unsafe to provide care in this room.

Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During investigation on 5/29/24, due to self-reported non-compliance, staff person #1, #2, #3, and #4, acknowledged that child #1 was left unsupervised in the Pre-K classroom when staff person #5 transitioned the class downstairs to the "City Place" room at the end of the day. Child #1 was left unsupervised for an undetermined amount of time but based on the time the class transitioned to "City Place" and the time the parent arrived to pick up child #1, it appears child #1 was alone for approximately 25-40 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of training through the ELRC regarding the supervision of children/supervision groups/tracking and counting children. Certification Rep will make the training referral to the appropriate ELRC. Documentation will be submitted to the Southeast Regional Office by the trainer and will show that all staff participated in the required training.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During investigation on 5/29/24, due to self-reported non-compliance, staff person #1, #2, #3, and #4, acknowledged that child #1 was left unsupervised in the Pre-K classroom when staff person #5 transitioned the class downstairs to the "City Place" room at the end of the day. Child #1 was left unsupervised for an undetermined amount of time but based on the time the class transitioned to "City Place" and the time the parent arrived to pick up child #1, it appears child #1 was alone for approximately 25-40 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During investigation on 5/29/24, due to self-reported non-compliance, staff person #1, #2, #3, and #4, acknowledged that child #1 was left unsupervised in the Pre-K classroom when staff person #5 transitioned the class downstairs to the "City Place" room at the end of the day. Child #1 was left unsupervised for an undetermined amount of time but based on the time the class transitioned to "City Place" and the time the parent arrived to pick up child #1, it appears child #1 was alone for approximately 25-40 minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The Regional Office will provide supervision forms to the facility for director and staff to document supervision and supervision groups for a period of 3 months, or the facility will submit forms to be approved for use. Documentation will remain at the facility and will be checked by certification rep during monthly announced visits.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During renewal inspection, the blue, child sized furniture in the Pre 1 room had rips in the fabric and was in need of repair or replacement.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During renewal inspection emergency contact form were not present in the infant room, Pre-2 room, and Pre-K rooms for the children receiving care in the rooms.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: During renewal inspection, the health report for child #1 did not include a statement from the physician regarding if the child is able to participate in child care and is free from contagious or communicable diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During renewal inspection, staff person #1 had an expired first aid and CPR certification on file dated 10/16/20.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During renewal inspection, the orange wall behind the door in the Pre 2 room had a hole in the plaster.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Facility staff #1 used physical discipline on their child at the facility.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Facility staff #1 singled out their own child and used harsh and demeaning language towards the child in the facility.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: On 5/31/2023 a child received an injury while at the facility, the accident, injury and illness report was not given to a parent on the day of the incident.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: At the time of inspection, the emergency contact form for facility child #1 was not updated at least every 6 months. The last updated was 12/17/2021.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: There was not acceptable verification of education in the file for facility staff #3.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: At the time of inspection the facility did not have a specific lock-down procedure in the emergency plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of inspection there was not verification that an emergency drill was conducted at least annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: Facility staff #2 did not have the required pediatric first aid and CPR within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: There was not an NSOR clearance on file for facility staff #1 and #2. Facility staff #6 had an FBI clearance that was over 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2 may not work in a child care position at the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At the time of inspection there was not the required annual fire system inspection or documentation of monthly fire system checks on file at the facility.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Facility staff #1 did not have the required health assessment at the time of initial hire. The hire date was 7/6/2021 and the health assessment was dated 8/5/2021. Facility staff #3 had a health assessment that was more than 12 months prior to providing initial services at the facility. The hire date was 9/21/2021 and the health assessment in the file was dated 11/10/2019. Facility staff #7 did not have the required health assessment at the time of initial hire. The hire date was 11/8/2021 and the health assessment was dated 1/27/2022. Facility staff #10 did not have the required health assessment at the time of initial hire. The hire date was 1/3/2022 and the health assessment was dated 1/27/2022.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment in the record for facility staff #2 did not specify that an exam for communicable diseases was conducted or that the staff person is suitable to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Emergency plan training was not provided to all staff at the time of initial employment. Facility staff #1, #2, #3, #5, #6, #7, #8, #9, #10 and #11 received training in the facility emergency plan after they started working at the facility.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Facility staff #2 and #3 did not complete the required Health and Safety Training Topics within 90 days of hire. Facility staff #2 had a hire date of 9/7/2021 and the date of the completed training was 2/1/2022. At the time of inspection facility staff #3 did not have verification of the completed training and had a hire date of 9/21/2021.

Correction Required: Staff persons shall complete the required health and safety training topics within 90 days of hire:

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility staff #1 did not obtain Mandated Reporter Training within 90 days of employment. The hire date was 7/6/2021 and the training was completed 2/12/2022. Facility staff #2 did not have the required clearances or receipts of those requests at the time of hire. The hire date was 9/7/2021 and the State Police clearance was dated 1/26/2022, the NSOR clearance was dated 2/15/2022 and the receipt for FBI fingerprinting was 2/2/2022. Facility staff #3 did not have the required clearances or receipts of those requests at the time of hire. The hire date was 9/21/2021 and the State Police clearance and Child Abuse clearances were dated 1/26/2022. The NSOR clearance was dated 2/15/2022. The FBI receipt for fingerprinting was dated 1/24/2022. Facility staff #5 did not have the required clearances or receipts of those requests at the time of hire. The hire date was 11/29/2021 and the State Police clearance and Child Abuse clearances were dated 1/28/2022. The FBI clearance was dated 2/9/2022 and the NSOR clearance was dated 2/15/2022. Facility staff #6 did not have the required clearances or receipts of those requests at the time of hire. Facility staff #6 did not have the required clearances or receipts of those requests at the time of hire. The date of hire was 11/15/2021 and the NSOR clearance was dated 2/15/2022. In addition, facility staff #6 did not have the required DHS FBI clearance. The FBI clearance in the record was a Department of Education FBI clearance dated 12/21/2021. Facility staff #7 did not have the required clearances or receipts of those requests at the time of hire. The date of hire was 11/8/2021 and the NSOR clearance request receipt was dated 1/27/2022. The disclosure statement for facility staff #11 was not dated.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #3 and #7 may not work in a child care position at the facility.

Regulation: 3270.113(c)

Description: No ridicule or threaten harm

Noncompliance Area: On 1/19/2022 facility staff #1 singled out facility child #1 by taking a video focused on the child, commenting about the child's behavior and sending the video to multiple parents.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: On 1/19/2022 facility staff #2 physically restrained facility child #1 by using her legs to restrict the child's movement.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.183(b)

Description: No information disclosed

Noncompliance Area: On 1/19/2022 facility staff #1 violated facility child #1's confidentiality by taking a video of the child and sending the video to other parents. The video focused on facility child #1 and facility staff #1 can be heard commenting about the child's behavior.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 9/23/2021 at naptime, a video recording captured facility staff #1 roughly grabbed facility child #1 to put on her cot causing the child to fall into the cot.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During a complaint investigation conducted on 8/12/2021 it was verified that there was a lack of appropriate supervision on 7/30/2021. Facility staff #1 acknowledged that at naptime on 7/30/2021 staff was situated in the room where she was unable to see or hear the interaction of facility child #1 and #2. At that time there was a therapist from an outside agency present in the area where the children were laying down for nap who saw and heard the conversation between facility child #1 and #2. The therapist informed facility staff #1 what was heard and seen while the staff was at the back area of the room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: On July 18th, 2019 at approximately 10:00 am, facility child #1 was left on the facility bus alone for 1 - 2 minutes.

Correction Required: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: On July 18th, 2019 at approximately 10:00 am, facility child #1 was left on the facility bus alone for 1 - 2 minutes. Facility staff #1, who was responsible for the supervision of facility child #1, went into a building not realizing facility child #1 was still on the bus alone. On July 26th, 2019 Certification Representative observed that a staff person in a classroom was not sure of which children they were responsible for. When Certification Representative asked facility staff #2 which children they were responsible for, facility staff #2 identified two children that another staff was assigned responsibility for.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: The provider self-reported the following incident: On 1/24/2019 facility staff #1 was seen by a parent sitting on a chair and then kicking a child in the classroom.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: The emergency contact form for facility child #2 did not include the addresses of the individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: There were not health assessments at least every 6 months for facility children #2 and #3. The last health assessment in the record for facility child #1 whose birth date is 11/18/2016 was dated 1/20/2017. The last health assessment in the record for facility child #3 whose birth date is 7/16/2016 was dated 10/13/2017.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The agreement forms for facility child #1 and #2 were not updated at least once every 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: There was not acceptable verification of education in the record for facility staff #2.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: There was not verification in the record that facility staff #1 participated in fire safety training at least annually. The last fire safety training in the record was dated 10/12/2017.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: On 12/4/2018, Certification Representative observed the kitchen area and a janitor closet that were unlocked and contained cleaning materials/toxins that were not made inaccessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: ON THE DAY OF VISIT MOST OF THE EMERGENCY CONTACT FORMS OBSERVED IN THE CLASSROOMS WAS MISSING A POLICY NUMBER. THE HEALTH INSURANCE NAME AND SOME FORMS WAS MISSING BOTH.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: ON THE DAY OF VISIT OBSERVED THE EMERGENCY CONTACT FORMS IN ALL OF THE CLASSROOMS. MOST OF THE FORMS WAS MISSING THE ADDRESS OF THE INDIVIDUAL DESIGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED,

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: ON THE DAY OF VISIT THE CLASSROOMS OBSERVED IN THE CLASSROOM WAS NOT UPDATED WITHIN 6 MONTHS

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: ON THE DAY OF VISIT SEVERAL ROOMS ON THE FIRST FLOOR AND MOST OF THE ROOMS ON THE SECOND FLOOR DID NOT HAVE THE HANDWASHING SIGNS POSTED OVER EACH TOILET AND SINK AREA.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.